Funding local ngos in the response to hiv aids under pepfar
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Funding Local NGOs In the Response to HIV/AIDS Under PEPFAR. Pact Community REACH. Pact’s HIV/AIDS Global Grants Program. Awarded in 2001 by USAID to rapidly make available HIV/AIDS funding to INGO & local NGOs – for care & support, prevention & VCT

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Funding local ngos in the response to hiv aids under pepfar l.jpg

Funding Local NGOs In the Response to HIV/AIDS Under PEPFAR

Pact Community REACH


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Pact’s HIV/AIDS Global Grants Program

  • Awarded in 2001 by USAID to rapidly make available HIV/AIDS funding to INGO & local NGOs – for care & support, prevention & VCT

  • Community REACH consists of a global grants program (22 countries) & country & regional level HIV/AIDS grants programs in

    • South Africa - Cambodia

    • Botswana, Lesotho, Swaziland - Brazil

    • Vietnam

    • Greater Mekong Region


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Global Outreach

7 global grants solicitations - 550 applications

2001 – 2003 – Pre-PEPFAR – Intl & local – 22 rapid scale up & intensive countries

  • Community HBC & support

  • Youth VCT – Linkages & Referrals

  • Reducing Stigma & Discrimination

  • Support to OVC

    2004 – 2005 – PEPFAR – Local NGOs only

  • Positive Prevention, Care & Support for PLWHA – Focus Countries

  • Support to HBC Volunteers- Non-Focus Countries

  • Community Engagement in ARV Treatment – Non-Focus Countries


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Why Grant to Local NGOs?

  • Accountability and Commitment

    • Passion & involvement

    • Transparency

    • Respect & trust of participants

    • Culturally appropriate

    • Provide missing link between

      communities and formal treatment services

  • Cost Effective

    • Embedded in local economy

    • Inspire volunteerism

    • Greater chance of sustainability


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Grantee Results Prior to PEPFAR 2001-2004

  • $8 million in subgrant funds to 80 organizations in 22 countries (11 PEPFAR Focus Countries)--55 local new USG partners (Average grant size $200,00 for two-three year programs)

  • Reached over 520,000 individuals w/ prevention messages & services through 40 outlets

  • Provided care & support to 75,000 PLWHA & OVC through 28 programs

  • Provided VCT services to over 27,000—primarily youth at 20 service points

  • Trained nearly 10,000 HCWs & support staff


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Transitioning to PEPFARChallenges & Successes

Challenges

  • Of 20 grant programs in 11 Focus Countries – Only 25% picked up by the COP process

  • 2004 Non-focus grantees roadblock to additional $

  • Procurement process of funds slow

  • FY05 Grant Program Shifted to Non-Focus Countries: Malawi, Zimbabwe, Cambodia, India, Indonesia, Nepal, Dominican Republic, Honduras, Russia, Ukraine

    Successes/Adaptations

  • PCI- Bwafwano – Zambia, HAPCSO Ethiopia

  • Adapted global grant lessons learned in engaging local NGOs/FBOs/CBOs to country-level programs

  • OGAC revised M&E Structure – M&E workbook


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PEPFAR Focus Country & Regional ProgramsSouth Africa, February 2004

Program

  • APS Process for INGO & local NGOs – large grants program avg. size $2.5 million for Pepfar activities

    Challenges

  • South Africa NGO Country Portfolio transitioned from single agency (s) to inter-agency management

  • Rigorous competition

  • PEPFAR M&E reporting requirements—lack of understanding

    Successes

  • Rapid funding of NGOs under PEPFAR

  • Broad Outreach to NGO community


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Botswana, Lesotho & Swaziland – January 2005

Program

  • HIV/AIDS grants program to regional & local NGOs/CBOs/FBOs—avg. size $100,00 (1-3 years) for Prevention & Care

  • Grants – 32 Botswana, 22 Lesotho,15 Swaziland

    Challenges

  • Overwhelming response from CBOs-

  • Capacities of local CBOs/FBOs varies– capacity building & TA key

    Successes

  • Utilized lessons learned from South Africa APS process

  • Articulated PEPFAR goals from solicitation process


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Vietnam January 2005

Program

  • Rapidly Fund & Start-up Program–One-year grants – Average grant size $300,000 to Intl and Local NGOs

  • Activities funded range of Pepfar activities

    Challenges

  • NGOS not familiar w/ PEPFAR goals & reporting

  • Treatment issues & multi-year commitment & sustainability – Central procurement & ability to sustain drugs

  • Procurement – Funds projected for April 2005 still not available September 2005

    Successes

  • Able to forward fund from central mechanism

  • Two Treatment programs started


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Implementation Issues

  • Procurement delays versus rapid implementation & start-up

  • COP process of identifying partners & local NGOS

  • Budgets remain fixed on preliminary plans & decided annually

  • Central procurement mechanisms for ARV drugs with separate NGOs & government agencies implementing programs

  • Treatment costs versus continuum of care


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